Patient Care Coordinator Oncology

About the role

This position is responsible for providing personalized coordination, clarification and communication of all administrative aspects of care including patient needs assessments, insurance and authorization verification, registration, maintaining and handling of documentation, and scheduling of appointments.

Responsibilities

• Performs patient intake process, which may include pre-registration/registration.
• Pairs with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan.
• Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary.
• Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient’s treatment.
• Accurately and completely documents all information into the patient records system to ensure maximum reimbursement.
• Maintains and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan.
• Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.
• Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions.
• Prepares, processes, and manages patient documentation to department database.
• Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.
• Optimizes patient experience by using effective customer service.
• Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed.
• Uses discretion and is attentive to issues of customer confidentiality.
• Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.
• Manages the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records.
• Responds to patient referral requests for tests, procedures and specialty visits.
• Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws.
• Notifies clinical staff as needed.
• Works independently under general supervision, following established procedures.
• Uses knowledge and problem-solving skills to work independently in a clinic/physician practice environment.

Requirements

Requires skills and abilities typically attained with three or more years working in a hospital or medical office. Requires knowledge of medical terminology. Must be able to work under minimal supervision and make independent decisions using good judgment. Excellent communication, human relations, attention to detail and organizational skills are required. Must possess highly developed interpersonal relations and process coordination skills.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• Additional related education and/or experience preferred.

Skills

Roles supporting mobile medical unit require travel within local community. Requires knowledge of payer contract terms and processes. Requires the ability to perform basic math function and the ability to handle confidential information and sensitive issues. Must be able to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.

Benefits

N/A

Pay

N/A

Schedule

Monday through Friday 7a-4:30p or 7:30a -4p